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  <title>斯帕客·私人订制欧洲旅行俱乐部</title>
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        	<h2 class="in-title">俱乐部-会员申请</h2>
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                  <td colspan="4" class="title" style="border-bottom:none;">申请人个人信息  Applicant Information</td>
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                <tr>
                  <td width="" rowspan="2">姓名 Name</td>
                  <td width="">中  文  Chinese </td>
                  <td width=""><input id="" name="" type="text"></td>
                  <td style="border-bottom:none;text-align:center;" rowspan="4"><a href="">照片<br />
                  Photo</a></td>
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                  <td>英  文  English</td>
                  <td><input id="" name="" type="text"></td>
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                  <td>性别  Gender </td>
                  <td colspan="2"><input type="radio" name="" value="" /> 男(M) <span class="mL170"><input type="radio" name="" value="" /> 女(F)</span></td>
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                  <td>身份证号  ID No.</td>
                  <td colspan="2"><input id="" name="" type="text" style="width:460px;"></td>
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                  <td>国籍  Nationality</td>
                  <td><input id="" name="" type="text"></td>
                  <td>民族  Ethnicity</td>
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                  <td>出生日期  Birth Date</td>
                  <td><input type="text" name="" value="" style="width:200px;"/><span class="riqeid"></span></td>
                  <td>籍贯  Place of Birth</td>
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                  <td>护照号  Passport No.</td>
                  <td><input id="" name="" type="text"></td>
                  <td>出生地  Place of birth </td>
                  <td><input id="" name="" type="text"></td>
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                  <td>护照有效期Expiry Date</td>
                  <td><input type="text" name="" value="" style="width:200px;"/><span class="riqeid"></span></td>
                  <td>签发地  Place of Issue</td>
                  <td><input id="" name="" type="text"></td>
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                  <td style="border-bottom:none;">邮箱  Email </td>
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                  <td style="border-bottom:none;">手机  Mob </td>
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                  <td colspan="4" class="title">公司信息  Company Information</td>
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                  <td>公司名称  Company Name</td>
                  <td><input id="" name="" type="text"></td>
                  <td>所属行业 <br />
                  Company Field</td>
                  <td><input id="" name="" type="text"></td>
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                <tr>
                  <td>员工人数  No. of Employees</td>
                  <td><input id="" name="" type="text"></td>
                  <td>公司年营业额 <br />
                  Annual Turnover</td>
                  <td><input id="" name="" type="text"></td>
                </tr>
                <tr>
                  <td>是否上市公司 <br />
                  Listed Company or Not</td>
                  <td><input type="radio" name="" value="" /> 是（Y） <span><input type="radio" name="" value="" class="mL40" /> 否（N）</span></td>
                  <td>职务  Title </td>
                  <td><input id="" name="" type="text"></td>
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                  <td>网址  Websitet</td>
                  <td><input id="" name="" type="text"></td>
                  <td>电子邮件  E-mail </td>
                  <td><input id="" name="" type="text"></td>
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                  <td>电话  Phone Number </td>
                  <td><input id="" name="" type="text"></td>
                  <td><input id="" name="" type="text"></td>
                  <td><input id="" name="" type="text"></td>
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                  <td style="border-bottom:none;">公司地址 <br />
                  Company Address</td>
                  <td style="border-bottom:none;" colspan="3"><input type="text" name="" value="" style="width:700px;"/></td>
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                  <td colspan="4" class="title">愿望清单Wish list</td>
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                  <td>曾经到访过的国家<br />
                  Visited countries </td>
                  <td><input type="text" name="" value="" style="height:100px;"/></td>
                  <td>最想去的国家或城市<br />
                  Wishes to visit</td>
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                  <td colspan="4">
                    <p>申请人旅行爱好  Travel Perferences</p>
                    <ul class="mem-tablist clearfix">
                      <li><input type="checkbox" name="" /> 高尔夫    Golf </li>
                      <li><input type="checkbox" name="" /> 古董/收藏  Vintage/Collecting</li>
                      <li><input type="checkbox" name="" /> 购物  Shopping </li>
                      <li><input type="checkbox" name="" /> 雪茄/烟斗  Cigars/Pipes</li>
                      <li><input type="checkbox" name="" /> 音乐/歌剧  Music/Opera</li>
                      <li><input type="checkbox" name="" /> 美食/美酒Food / Wine testing </li>
                      <li><input type="checkbox" name="" /> 滑雪/攀岩  Skiing/Climbing </li>
                      <li><input type="checkbox" name="" /> 徒步/登山  Hike/Mountaineering  </li>
                      <li><input type="checkbox" name="" /> 都市/文化  City tour/Culture</li>
                      <li><input type="checkbox" name="" /> 古董/收藏  Vintage/Collecting </li>
                      <li><input type="checkbox" name="" /> 时尚/艺术Fashion/ Arts </li>
                      <li><input type="checkbox" name="" /> 足球/意甲  Football Fans</li>
                    </ul>
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                  <td colspan="4">
                    <p>本人申请加入斯帕客私人订制欧洲旅行俱乐部会员，遵守一切俱乐部的规章和附则以及可能随时修改及实施的规章和附则。</p>
                    <p>As a Sparkle Private Club member, I agree to comply with and be bound by the Laws, Rules and Regulations of the Club, as the same may from time to time be in force.</p>
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                    <p class="inbtn"><a href="" class="inbtn-l">立即申请</a><a href="" class="inbtn-r">取消重置</a></p>
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			 <p>版权所有：2014©copyright 斯帕客·私人订制欧洲旅行俱乐部     联系地址：重庆市北部新区新南路164号1801室</p>
			 <p>邮箱：tour@sparkleprivatetour.com     服务热线：18802309888  技术支持：<a href="http://www.cqxueao.com/">雪奥科技</a></p>
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